Trauma

Question 1

Pulmonary contusion

Answer 1

Develops over 12-24 hours

Hazy appearance on XR

Question 2

Borders for cricothyrotomy

Answer 2

Thyroid cartilage superiorly

Cricoid cartilage inferiorly

Question 3

Treat sternal fx

Answer 3

(Need a lateral)

If no cardiac issues (EKG/trops): pain control and home

Question 4

Incision in cric

Answer 4

Longitudinal 3-5 cm thorugh skin over the cricothyroid membrane
Horizontal through the membrane

Question 5

Size of tube for a cric

Answer 5

5-0 or 6-0

Question 6

Which structure runs along heart that needs to be identified before a pericardiotomy?

Answer 6

Phrenic nerve

Question 7

Inaccurate labs with IO

Answer 7

WBC, platelets, AST/ALT, potassium

Question 8

IO contraindications

Answer 8

Fx, previous penetration, vascular disruption

Question 9

Most common solid organ injury in blunt trauma

Answer 9

SPLEEN

Question 10

Pseudosubluxation in peds

Answer 10

Usually C2 on C3
Normal and common
C2 should be within 2mm

Question 11

Hangman’s fx

Answer 11

C2 displaced anterior due to fx of C2 pedicles

Question 12

Age ped spinal injury follow adult patterns

Answer 12

8 years

Question 13

Jefferson fx

Answer 13

C1 burst

Axial compression

Question 14

Most common site of pediatric linear skull fx

Answer 14

Parietal bone

Question 15

Blast injuries

Answer 15

Primary: direct cause of the shockwave (TMs etc)
Secondary: Debris into person
Tertiary: Person into object
Quat: chronic

Question 16

Flexion teardrop fx

Answer 16

Severe flexion -> anterior displacement of wedge-shaped fragment of anterioinferior vertebral body
Disruption of ligamentous structures
Always unstable

Question 17

Most common symptoms of basilar skull fx

Answer 17

Hemotympanum

Question 18

Most common fx bone in basilar skull fx

Answer 18

Temporal

Question 19

Unstable fractures

Answer 19

Jefferson burst C1 burst
Bilateral facet; flexion ant displacement
Odontoid; flexion
Atlanto-occipital; flex/ext - dead
Hangmans; extension C2 pedicles
Tear drop; flex/ext - antinf vert body

Question 20

Bone most commonly fx in basal skull fx

Answer 20

Temporal